The provider–patient relationship is typically regarded as an expert-to-novice relationship, and with good reason. Providers have extensive education and experience that have developed in them the competence to treat conditions better and with fewer harms than anyone else. However, some researchers argue that many patients with long-term conditions (LTCs), such as arthritis and chronic pain, have become “experts” at managing their LTC. Unfortunately, there is no generally agreed-upon conception of “patient expertise” or what it implies for the provider–patient relationship. I (...) review three prominent accounts of patient expertise and argue that all face serious objections. I contend, however, that a plausible account of patient expertise is available and that it provides a framework both for further empirical studies and for enhancing the provider–patient relationship. (shrink)

The thoughts and writings of this important fifth century B.C. political and social thinker -- and formidable rival of the Confucianists -- are presented here in English translation.

Judgments concerning animals have arisen across a variety of established practice areas. There is, however, no publicly available repository of judgments concerning the emerging practice area of animal protection law. This has hindered the identification of individual animal protection law judgments and comprehension of the scale of animal protection law made by courts. Thus, we detail the creation of an initial animal protection law repository using natural language processing and machine learning techniques. This involved domain expert classification of 500 judgments (...) according to whether or not they were concerned with animal protection law. 400 of these judgments were used to train various models, each of which was used to predict the classification of the remaining 100 judgments. The predictions of each model were superior to a baseline measure intended to mimic current searching practice, with the best performing model being a support vector machine (SVM) approach that classified judgments according to term frequency—inverse document frequency (TF-IDF) values. Investigation of this model consisted of considering its most influential features and conducting an error analysis of all incorrectly predicted judgments. This showed the features indicative of animal protection law judgments to include terms such as ‘welfare’, ‘hunt’ and ‘cull’, and that incorrectly predicted judgments were often deemed marginal decisions by the domain expert. The TF-IDF SVM was then used to classify non-labelled judgments, resulting in an initial animal protection law repository. Inspection of this repository suggested that there were 175 animal protection judgments between January 2000 and December 2020 from the Privy Council, House of Lords, Supreme Court and upper England and Wales courts. (shrink)

Questions are, in many respects, the hallmarks of the philosopher's trade. They are passed down from one generation to the next and yet, throughout history, philosophers have had relatively little to say about questions. In particular, few have asked or tried to answer the question ‘what is a question'. I call this the ‘Question Question’ and I offer an answer to it in this paper, furnishing philosophical analysis with the results of a large online survey, which has been running for (...) more than a decade. (shrink)

Although the presence or absence of a pitch accent clearly can play an important role in signaling the discourse and information structure of an utterance, whether the form of an accent determines the type of information it conveys is more controversial. We used an eye‐tracking paradigm to investigate whether H*, which has been argued to signal new information, evokes different eye fixations than L+H*, which has been argued to signal the presence of contrast. Our results demonstrate that although listeners interpret (...) these accents differently, their interpretive domains overlap. L+H* creates a strong bias toward contrast referents whereas H* is compatible with both new and contrast referents. (shrink)

Postcolonial science studies entails ostensibly contradictory critical and empirical commitments. Science studies scholars influenced by Bruno Latour and Isabelle Stengers embrace forms of realist, radical empiricism, while postcolonial studies scholars influenced by Jacques Derrida trace the limits of the knowable. This essay takes their common use of the term cosmopolitics as an unexpected point of departure for reconciling Derrida’s program with Stengers’s and Latour’s. I read Derrida’s critique of hospitality and Stengers’s and Latour’s ontological politics as necessary complements for conceiving (...) a care-oriented subalternist cosmopolitics, a process of composing common worlds that remains attentive to the limits of representation. (shrink)

In this paper, I focus on the role of curiosity as a key motivating factor in successful collaboration for interdisciplinary research. I argue that curiosity is an important, perhaps essential component of successful collaboration for interdisciplinary teams. I begin by defining curiosity and highlighting the significance of the characteristic motivation of the virtue for successful collaboration. I argue that curiosity initiates, maintains, and coordinates successful collaborative interdisciplinary research. Moreover, if curiosity is a foundational intellectual virtue, then it is not only (...) important but essential for successful collaboration. I then draw attention to a specific type of curiosity, namely inquisitiveness, and argue that the defining feature of inquisitiveness – good questioning – renders it a particularly valuable form of curiosity for collaborative projects, including (although not limited to) interdisciplinary research. I conclude by deriving some practical recommendations for successful collaboration in interdisciplinary research. (shrink)

In phase I clinical trials, healthy volunteers are dosed with investigational drugs and subjected to blood draws and other bodily monitoring procedures. In exchange, they are paid. Healthy volunteers are, in a very direct sense, selling access to their bodies for pharmaceutical companies and their associates to run drugs through. In his ethnographic study of socalled professional guinea pigs, Roberto Abadie writes, "Paid volunteers are well aware of the demand for an idealized, perfectly healthy volunteer. They also realize that their (...) body is a valued commodity in clinical trials research". It is perhaps surprising, then, that commodification is little discussed in the bioethics literature on phase I... (shrink)

The article concerns a mediaeval Indian debate over whether, and if so how, we can know that a self exists, understood here as a subject of cognition that outlives individual cognitions, being their common substrate. A passage that has not yet been translated from Sanskrit into a European language, from Jayanta Bhaṭṭa’s Nyāyamañjarī, ‘Blossoms of Reasoning’, is examined. This rich passage reveals something not yet noted in secondary literature, namely that Mīmāṃsakas advanced four different models of what happens when the (...) self perceives itself. The article clarifies the differences between the four, and the historical and logical relationships between them. It also hypothesizes pressures that constituted the need for the creation of the newer views, i.e. perceived problems with the earlier views, which the proponents of the newer views saw themselves as overcoming. (shrink)

Volume 20, Issue 10, October 2020, Page 24-26.

The distinguished historian and author of The Medici Conspiracy examines atheism as a modern intellectual achievement that has motivated individuals to pursue invention and self-reliance, citing the accomplishments of secular philosophers, scientists and artists who have worked in the absence of religious belief.

This rich and wide-ranging book defends a “tripartite theory” of responsibility. The general thesis is that responsibility-responses fall into three overlapping categories, each of which presumes distinct agential capacities. On the basis of a close examination of various sorts of marginal agency, these capacities are said to be independent and ground what deserves to be called distinct types or “faces” of responsibility. The first face, attributability, depends on a capacity for character, answerability on a capacity for judgment, and accountability on (...) a capacity for “regard”. This commentary questions the theory’s account of the relations among the types of responsibility, and its attempt to ground responsibility-responses in qualities of “will”. (shrink)

The foundation of the Australian colonial project lies within an ‘originary violence’, in which the state retains a vested interest in maintaining the founding order of things. Inequalities and iniquities are maintained for the purpose of sustaining the life and continuity of the state. The Australian state, founder of a violent order is called upon by the international community to conform and uphold ‘human rights’, but what does this call to conformity require, particularly when the call comes from states which (...) are also founded upon colonial violence? This article argumes that very little is required beyond the masquerade that ‘equality’ for Aboriginal peoples is an on-going project of the state. So for what purpose does the masquerade continue? (shrink)

Jean-Jacques Rousseau's works are often a touchstone and inspiration for many when it comes to thinking carefully about domination. We find Rousseau-inspired analyses across a wide range of political theories centering the concept of domination, from republicanism, liberalism, and Marxism to critical theory, feminisms, and beyond. This article aims to raise questions about a powerful, prevailing, and compelling reading of Rousseau's conception of domination. Beyond that, I hope to offer further insight into the components of his view of domination by (...) centering his account of sexuality as a domination/subordination relation. Ultimately, I suggest that Rousseau's considered view is that domination is a matter of being in a dependency relation. In other words, to be dependent upon others (whether a particular other or group of others) is sufficient for being dominated. However, not all domination relations are illegitimate. Both sexuality and the specific case of forming a social compact are sites of domination relations that can be rendered legitimate under certain conditions. (shrink)

Sex is a fundamentally important biological variable. Recent years have seen significant progress in the integration of sex in many aspects of basic and clinical research, including analyses of sex differences in brain function. Significant advances in the technology available for studying the endocrine and nervous systems are now coupled with a more sophisticated awareness of the interconnections of these two communication systems of the body. A thorough understanding of the current knowledge, conceptual approaches, methodological capabilities, and challenges is a (...) prerequisite to continued progress in research and therapeutics in this interdisciplinary area. Sex Differences in the Brain provides scientists with the basic tools for investigating sex differences in brain and behavior and insight into areas where important progress in understanding physiologically relevant sex differences has already been made. This book was edited and co-authored by members of the Isis Fund Network on Sex, Gender, Drugs and the Brain, sponsored by the Society for Womens Health Research. The book is arranged in three parts. The first part of the book introduces the study of sex differences in the brain, with an overview of how the brain, stress systems, and pharmacogenetics differ in males and females and how this information is important for the study of behavior and neurobiology of both genders. The second part presents examples of sex differences in neurobiology and behavior from both basic and clinical research perspectives, covering both humans and nonhuman animals. The final part discusses sex differences in the neurobiology of disease and neurological disorders. For interested individuals as well as those who are considering conducting research at the intersections of endocrinology, neuroscience, and other areas of biomedicine, the study of sex differences offers exciting and challenging questions and perspectives. This book is intended as a guide and resource for clinicians, scientists, and students. (shrink)

Histories of Postmodernism reexamines the history of the constellation of ideas and thinkers associated with postmodernism. The increasingly dominant historical narrative depicts a relatively smooth development of ideas from Friedrich Nietzsche and Martin Heidegger, through a range of French theorists, most notably Jacques Derrida and Michel Foucault, to contemporary American thinkers such as Richard Rorty, Edward Said, and Judith Butler. Histories of Postmodernism challenges this narrative by highlighting the local contexts of relevant theorists and thus the crucial distinctions that divide (...) successive articulations of the themes and concepts associated with postmodernism. As postmodern ideas traveled from nineteenth-century Germany to mid-twentieth-century France and on to the contemporary United States, so the relevant theorists transformed that heritage within the context of particular intellectual traditions and specific political and aesthetic issues. (shrink)

Higher education, and especially universities, is undergoing tremendous change. Many directly affect the lives of the academics and student whose presence defines the university. In this short introduction to the book we explore the context in which values in higher education are being questioned, defended and ignored. We then offer an outline of the content of the book.

The search for common ground is hugely important and it depends on understanding in as fair a way as possible how words are being used by opponents in debate – in this case naturalism and theism.

Originally published in Great Britain in 2016 with different subtitle: Convergence: the deepest idea in the universe.

Review of: Documents of Doubt: The Photographic Conditions of Conceptual Art, Heather Diack (2020)Minneapolis, MN: University of Minnesota Press, 296 pp.,ISBN 978-1-51790-757-0, p/bk, $30.00.

THE OPENING OF MARTIN HEIDEGGER'S summer of 1928 Marburg lectures on logic is, to use a word he himself invokes elsewhere about these matters, "dismaying"--providing perhaps additional evidence for the perennial charge that aspects of his work contain tendencies toward irrationalism, mysticism, and forms of nostalgic romanticism. In fact, the lectures show Heidegger calling for nothing less than a "destruction of logic," a move not only consistent with a similar destruction in Being and Time, published a year previously, but also (...) consistent with a context which its author describes as one in which "the inner rebellion against knowledge, the revolt against rationality, and the struggle against intellectualism have become fashionable." His ensuing condemnation of "the widespread sterility of academic courses" in this area and the call for "loosening up traditional logic," would seem to lead directly to the proclamation which would issue from Heidegger's struggle with Nietzsche in the decade thereafter, that "reason, glorified for centuries, is the most stiff-necked adversary of thought." The question of Heidegger's account in this regard has continually troubled those writing in its wake--not only in the continental traditional, such as Gadamer, Adorno, Habermas, Merleau-Ponty, or Derrida, but also those "beyond" it, such as Carnap, Ryle, Rorty, or Putnam. And yet, such claims seem only to provide added weight to the concern that the "retrieval of metaphysics" thought to be essential to these issues based upon the Daseinanalytik of Being and Time would only lead the classical issues in philosophy associated with justification and decidability into a quagmire. Its emphasis upon the conjunct in its title, being and time, could only lead, on the one hand, to anthropological reductionism--since it returned the interrogation of Being back to the commitments of the being through whom the questioning arose-and on the other hand, to a new version of historicism--since it claimed that questions concerning "truth" were tied essentially to time, and specifically, to the latter's appearance within the temporal horizon of the being to whom they appeared. Moreover, that even those closest to Heidegger viewed the matter similarly is clear, for example, in the criticisms his mentor, Edmund Husserl voiced in the 1931 response, "Phenomenology and Anthropology." There the strategy Husserl used in arguing against Dilthey's flirtation with relativism in a Logos essay of 1911 was reinvoked against Heidegger himself. In this regard, far from contributing to a retrieval of classical issues in philosophy, Heidegger would be simply guilty of effecting their ultimate dissolution, a claim which, like that of irrationalism, has accompanied his works ever since. (shrink)

This paper is an investigation into the introduction of the term ‘system’ and its conceptual background in the writings of Bartholomew Keckermann. This includes a brief summary of the literature and evidence identifying Keckermann as the first to make significant usage of the term in logic, philosophy, and theology. Then, after a survey of his life, work and milieu, this paper will look closer at three of Keckermann’s own ‘systems’; Systema logicae (1600), Praecognitorum Logicorum (1606), and Systema SS. Theologiae (1602). (...) Finally, I will touch on the influence Keckermann’s innovation had on subsequent ideas of method in modern philosophy, especially how his innovative use of this term gives the logician the directing role as a technical expert in mining the truth of theology, philosophy, and other sciences. This, of course, flies in the face of the medieval view of the Church and its elders controlling that role, characterizing the discovery and refinement of knowledge as being a process of electing and using worthy passive subjects as conduits of divine knowledge. Thus Keckermann’s systems can be considered an important step away from this, towards the early modern epistemology requiring an active thinking subject, best characterized in Descartes’ Meditations. (shrink)

Invocations of Merleau-Ponty’s claim concerning the incompleteness that accompanies the phenomenological reduction have had a long and somewhat contentious history. In this paper I will further explore the implications of Merleau-Ponty’s claim and the itinerary from which it emerges. From the Structure of Behaviour onward, he argued that consciousness is not a transcendental presupposition but an achievement that emerges from and transforms the labor of our rational practices. Phenomenological theory rightly argued for the centrality of the experience of the reduction, (...) albeit too often by mistakenly bestowing immanence upon it. Statically regarded, the reduction may involve an ‘act’ but it is also a Stiftung, and thus a performative, one that Merleau-Ponty claims involves an institution and an acquisition: as he puts it quite simply, it is learned. The reduction involves intuition but it is also a conceptual practice involving “a multitude of operations”, a symbolic matrix always articulated through internal transformations. Finally the reduction is an experience but it is always a sequence “gradually effected” and thus an embodied history. It results then not in the Spinozist Habemus ideam verum, but as “The Philosopher and His Shadow” rightly concludes, an “artifact”. For Merleau-Ponty, all this forced the recognition of the “internal difficulty” in the reduction theorized through the concept of a constituting consciousness. Moreover, this not an anthropological claim about a faculty or finitude, but a claim about the rationality, the “metamorphosis” and “coherent deformation” of its experience, an “ordered sequence of steps” that “could not possibly reach completion in the intellectual possession of a noema”. It is not simply en presence, in the static relation of presence that phenomenology achieves justification. For Merleau-Ponty, its experience is not unrevisable, nor immanently completable: instead it is only through the ordered steps of its history that it acquires sufficiency. (shrink)